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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

Asymptomatic ST elevation myocardial infarction.

Kenton L Anderson¹, Neel A Shah², Moises Gallegos²

¹Department of Emergency Medicine, Stanford University School of Medicine, 900 Welch Road, Palo Alto, CA 94304, USA.

Heart & Lung : the Journal of Critical Care

|June 5, 2018

Summary

This summary is machine-generated.

This case study discusses an asymptomatic ST elevation myocardial infarction (STEMI) in a diabetic patient. It emphasizes prompt revascularization for STEMI, even without chest pain, to prevent silent myocardial infarctions.

Keywords:

Asymptomatic ST elevation myocardial infarction Silent

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Area of Science:

Cardiology
Internal Medicine
Emergency Medicine

Background:

A 71-year-old female with comorbidities including diabetes, hypertension, hyperlipidemia, and end-stage renal disease presented with right leg pain from an ankle fracture.
The patient was a non-smoker with no prior history of cardiac issues.

Observation:

Electrocardiogram (ECG) showed ST segment elevations in anterior leads.
The patient denied typical acute coronary syndrome symptoms such as chest pain, shortness of breath, or diaphoresis.
Initial Troponin I levels were elevated at 35.9 ng/mL, and coronary angiography revealed a 99% occlusion in the left anterior descending (LAD) artery.

Findings:

The patient underwent successful placement of two drug-eluting stents in the LAD, with 10% residual stenosis.
This case represents a rare instance of an ongoing asymptomatic ST elevation myocardial infarction (STEMI).

Implications:

Highlights the critical importance of recognizing and treating STEMI based on ECG findings, irrespective of symptom presentation.
Underscores the need for timely revascularization in at-risk patients to mitigate the risk of silent myocardial infarctions.
Emphasizes vigilance for silent ischemia in patients with multiple cardiovascular risk factors.